EP0801948B1 - Ophtalmische Zusammensetzung mit verlängerter Verweilzeit am Auge - Google Patents

Ophtalmische Zusammensetzung mit verlängerter Verweilzeit am Auge Download PDF

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Publication number
EP0801948B1
EP0801948B1 EP97103736A EP97103736A EP0801948B1 EP 0801948 B1 EP0801948 B1 EP 0801948B1 EP 97103736 A EP97103736 A EP 97103736A EP 97103736 A EP97103736 A EP 97103736A EP 0801948 B1 EP0801948 B1 EP 0801948B1
Authority
EP
European Patent Office
Prior art keywords
eye
weight percent
ophthalmic
dimethyl ammonium
preservative
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP97103736A
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German (de)
English (en)
French (fr)
Other versions
EP0801948A1 (de
Inventor
Günther Dr. Bellmann
Gudrun Dr. Claus-Herz
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Dr Gerhard Mann Chem Pharm Fabrik GmbH
Original Assignee
Dr Gerhard Mann Chem Pharm Fabrik GmbH
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Publication date
Application filed by Dr Gerhard Mann Chem Pharm Fabrik GmbH filed Critical Dr Gerhard Mann Chem Pharm Fabrik GmbH
Priority to SI9730178T priority Critical patent/SI0801948T1/xx
Publication of EP0801948A1 publication Critical patent/EP0801948A1/de
Application granted granted Critical
Publication of EP0801948B1 publication Critical patent/EP0801948B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0048Eye, e.g. artificial tears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • A61K31/07Retinol compounds, e.g. vitamin A
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents

Definitions

  • the invention relates the use of a benzyllauryldimethylammonium salt for the preparation of ophthalmic compositions for repeated use are intended for longer periods and / or for a longer period of time on the eye after each Application are formulated to avoid those caused by benzalkonium chloride Irritation and / or tissue damage to the eye.
  • Ophthalmic compositions like other pharmaceuticals Preparations, too, from various types of microorganisms be contaminated. It must be avoided that such microorganisms when using the ophthalmic composition in can get into the eye and onto the mucous membranes of the eyes. Ophthalmic Preparations therefore have high sterility requirements satisfy. For this reason, the manufacture of such Preparations are always carried out under sterile conditions.
  • these preservatives are added. On the one hand, these must have a sufficient germicidal effect to ensure the permanent sterility of the preparation, on the other hand, they are not allowed to cause irritation or tissue damage themselves of the eye, which is often already damaged.
  • ophthalmic compositions that after a single application one (in comparison with slightly through Tear fluid washable preparations, such as usual aqueous Drip solutions) prolonged dwell time on or in the eye demonstrate.
  • Such preparations are in terms of their consistency increased viscosity set.
  • An example are by adding water-soluble polymers gel-like thickened aqueous preparations, especially so-called drip gels.
  • Another example are the known ointments, mostly in the form of spreadable emulsions.
  • Preservatives for such purposes are e.g. Thiomersal, Centrimid, and the like. Substances in use.
  • Another commonly suggested preservative for ophthalmic preparations is benzalkonium chloride.
  • Benzalkonium chloride is the international free name for N-alkyl-N-benzyl-N, N-dimethylammonium chloride, with alkyl residues between C 8 H 17 and C 18 H 37 .
  • Benzalkonium chloride is usually obtained from natural fats or oils and, depending on the raw materials used, is a mixture of changing compositions of the quaternary compounds described above.
  • benzalkonium always means such a mixture with different alkyl radicals, the number of carbon atoms in the alkyl radical varying from C 8 to C 18 .
  • French patent application FR-2 678 832 describes ophthalmic compositions containing various active ingredients and polyacrylic acid as a thickener to achieve a lasting effect on the eye.
  • FR-2 678 832 makes no statements about the compatibility of the preservatives used, especially not for long and repeated use.
  • ophthalmic preparations are in Various forms of application known, which by adding an osmotically compatible antimicrobial substance can be made more tolerable to the eye.
  • the described Usable preservatives also include benzalkonium chloride, which long-term or repeated use is irritating to the eyes.
  • Benzyllauryldimethylammoniumchlorid and its irritation-avoiding effect is in the FR-2 679 773 not mentioned.
  • Benzalkonium chloride has excellent antiseptic properties even in ophthalmic Preparations, in particular in aqueous ophthalmic preparations.
  • points Benzalkonium chloride as has been shown since the publication of the aforementioned patents, poor tolerance, which can lead to irritation and even lesions of the eye.
  • B. Lopez et al. (Current Eye Research, 1991, 10 (7.645 to 656) report the damaging Effect of preservatives in artificial tears on the cornea in rabbits. The effect of tear fluids containing 0.01% benzalkonium chloride, 0.001% polyquat or 0.004% thiomersal was conserved Comparison group, in which artificial tear fluid without preservatives used has been.
  • the measure of damage to the cornea was the increase in absorption for Carboxyfluorescein chosen. Artificial tears containing polyquat or thiomersal caused an up to fourfold increase in admission. Artificial tears, the benzalkonium chloride contained an approximately 10 to 100-fold increase in admission.
  • Electron microscopic control examinations showed that the increase in Absorption capacity for carboxyfluorescein with increased cell damage in the cornea went along. As a result, the use of benzalkonium salts for ophthalmics strongly discouraged.
  • JP-A 1246227 describes a method for avoiding incompatibilities in liquid aqueous ophthalmic compositions, in particular eye drops which contain benzalkonium chloride.
  • a large number of medicinal active substances in the dosage form as an aqueous solution show incompatibility with benzalkonium chloride, which leads to the formation and flocculation of soluble compounds. It is therefore not possible to use benzalkonium chloride as a preservative in such aqueous compositions.
  • almost pure benzyllauryldimethylammonium chloride i.e.
  • the object of the present invention is an ophthalmic composition to provide the type mentioned at the outset good tolerance to the eye, even with long-term exposure, and overcomes the disadvantages of the prior art, without the beneficial effects of the benzalkonium salts to give up as a preservative.
  • the invention therefore makes it possible in particular to use such ophthalmic Preserve compositions compared to one extended dwell time on the eye with eye drops or the like should have.
  • dripping gels, ointments and the like can be created after a single application act on the eye for a long time because they are slow through the eye Tear fluid can be washed out using the preservative has all the advantages of the known benzalkonium chloride, but without causing eye irritation or even eye damage Effect.
  • compositions around those which, as carriers, have an aqueous have drippable gel base. You will be in a known manner a viscosity-increasing synthetic or natural polymer use in aqueous solution or aqueous dispersion.
  • gel formers are particularly suitable for this Carboxyvinyl polymers, especially carboxypolymethylenes, which are commercially available under the "Carbopol” brand. Alternatively, they can be obtained commercially under the "EMA” brand Use ethylene-maleic anhydride copolymers.
  • the various natural polymers are particularly suitable again cellulose derivatives already known for ophthalmic gels, especially alkyl celluloses, hydroxy celluloses, Hydroxyalkyl celluloses, etc.
  • additional or alternatively use natural rubbers, such as Guar gum, xanthan gum, etc.
  • Further examples of the invention natural polymers which can advantageously be used are dextran and its derivatives.
  • composition as a basically single-phase aqueous liquid to formulate in which the other components are dissolved or as dispersed particles occur.
  • the composition can be used as two-phase liquid are built up with an aqueous and a hydrophobic phase.
  • the preparation determined Active ingredients such as those containing vitamin A
  • a continuous aqueous phase with droplets emulsified therein the hydrophobic phase are suitable as a hydrophobic phase
  • Use medium-chain triglycerides as the hydrophobic phase are particularly advantageous.
  • the concentration of the benzyllauryldimethylammonium salt corresponds the usual concentrations as for benzalkonium chloride can be scheduled.
  • the benzyllauryldimethylammonium salt is preferably simply the chloride.
  • the advantage of the invention can also be for use such ophthalmic compositions, although none viscosity-increasing (and thus delaying washing out) Ingredients included, but repeated over long periods must be applied and thus also to a permanently increased Keep a preservative level in the eye.
  • Such preparations too can, if contain harmful preservatives cause irritation or even tissue damage and therefore, the preparation according to the invention can also be used for such preparations Take advantage by using the benzyllauryldimethylammonium salt instead of these preservatives used as a preservative become.
  • Examples include not only eye drops, but also artificial ones Tear fluid, such as that reported by Lopez et al Attempt.
  • Ophthalmic composition with 0.01% benzyllauryldimethylammonium chloride.
  • Neck size 2 kg ingredients Quantity in grams Carbopol 980 NF 4.00 Benzyllauryldimethylammonium chloride 0.2000 Sorbitol 80.00 NaOH, firm 1.57 water (Rest up to batch size)
  • Ophthalmic composition with 0.005% benzyllauryldimethylammonium chloride.
  • Neck size 2 kg ingredients Quantity in grams Carbopol 980 NF 4.00 Benzyllauryldimethylammonium chloride 0.1000 Sorbitol 80.00 NaOH, firm 1.57 water (Rest up to batch size)
  • Long-term tests on guinea pigs (Charles River) were carried out with the compositions according to Examples 1 and 2.
  • comparative tests were carried out with a corresponding control group, in which the same compositions were used in all respects, but differing in terms of the preservative.
  • the test duration was 5 weeks.
  • the ophthalmic compositions according to the Examples 1 and 2 according to the invention did not end in any rabbit the duration of the experiment to a noticeable irritation of the eye. No tissue damage was observed either.

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  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
EP97103736A 1996-04-15 1997-03-06 Ophtalmische Zusammensetzung mit verlängerter Verweilzeit am Auge Expired - Lifetime EP0801948B1 (de)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SI9730178T SI0801948T1 (en) 1996-04-15 1997-03-06 Ophthalmic composition having prolonged residence time in the eye

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19614823 1996-04-15
DE19614823A DE19614823A1 (de) 1996-04-15 1996-04-15 Ophthalmische Zusammensetzung mit verlängerter Verweilzeit am Auge

Publications (2)

Publication Number Publication Date
EP0801948A1 EP0801948A1 (de) 1997-10-22
EP0801948B1 true EP0801948B1 (de) 2001-06-06

Family

ID=7791310

Family Applications (1)

Application Number Title Priority Date Filing Date
EP97103736A Expired - Lifetime EP0801948B1 (de) 1996-04-15 1997-03-06 Ophtalmische Zusammensetzung mit verlängerter Verweilzeit am Auge

Country Status (16)

Country Link
US (2) US6599944B1 (pl)
EP (1) EP0801948B1 (pl)
JP (1) JP4582822B2 (pl)
CN (1) CN1215988A (pl)
AT (1) ATE201820T1 (pl)
AU (1) AU714093B2 (pl)
BR (1) BR9708669A (pl)
CA (1) CA2251982C (pl)
DE (2) DE19614823A1 (pl)
DK (1) DK0801948T3 (pl)
ES (1) ES2159783T3 (pl)
GR (1) GR3036498T3 (pl)
PL (1) PL187339B1 (pl)
PT (1) PT801948E (pl)
SI (1) SI0801948T1 (pl)
WO (1) WO1997038674A1 (pl)

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* Cited by examiner, † Cited by third party
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DE19614823A1 (de) 1996-04-15 1997-10-16 Mann Gerhard Chem Pharm Fab Ophthalmische Zusammensetzung mit verlängerter Verweilzeit am Auge
DE19744113A1 (de) * 1997-10-06 1999-04-15 Mann Gerhard Chem Pharm Fab Dexamethason-Gel
IN185228B (pl) * 1999-02-03 2000-12-09 Bakulesh Mafatlal Dr Khamar
DE19918324A1 (de) * 1999-04-22 2000-10-26 Mann Gerhard Chem Pharm Fab Pharmazeutische Zusammensetzung wirksam gegen durch Bakterien, Viren, Pilze, Hefen und Protozoen verursachte Krankheitszustände
DE19938668B4 (de) * 1999-08-14 2006-01-26 Bausch & Lomb Inc. Tränenersatzmittel
DE10132876A1 (de) * 2001-07-06 2003-01-30 Medproject Pharma Entwicklungs Zweiphasige, tropfbare Hydrogele zur Anwendung am Auge
US8545487B2 (en) * 2007-12-05 2013-10-01 Avedro Inc. Eye therapy system
US8366689B2 (en) * 2008-09-30 2013-02-05 Avedro, Inc. Method for making structural changes in corneal fibrils
US8574277B2 (en) 2009-10-21 2013-11-05 Avedro Inc. Eye therapy
WO2011116306A2 (en) 2010-03-19 2011-09-22 Avedro, Inc. Systems and methods for applying and monitoring eye therapy
US9044308B2 (en) 2011-05-24 2015-06-02 Avedro, Inc. Systems and methods for reshaping an eye feature
EP2713849B1 (en) 2011-06-02 2017-02-15 Avedro, Inc. Systems for monitoring time based photo active agent delivery or photo active marker presence
CN102416011A (zh) * 2011-10-10 2012-04-18 艾硕特生物科技(昆明)有限公司 一种广谱、高效的抗菌洗液
EP3808339B1 (en) 2012-05-03 2025-11-12 Alcon Inc. Pharmaceutical nanoparticles showing improved mucosal transport
US11596599B2 (en) 2012-05-03 2023-03-07 The Johns Hopkins University Compositions and methods for ophthalmic and/or other applications
US9827191B2 (en) 2012-05-03 2017-11-28 The Johns Hopkins University Compositions and methods for ophthalmic and/or other applications
WO2013166385A1 (en) 2012-05-03 2013-11-07 Kala Pharmaceuticals, Inc. Pharmaceutical nanoparticles showing improved mucosal transport
EP2872081B2 (en) 2012-07-16 2025-07-16 Avedro, Inc. Systems for corneal cross-linking with pulsed light
US9498122B2 (en) 2013-06-18 2016-11-22 Avedro, Inc. Systems and methods for determining biomechanical properties of the eye for applying treatment
US9498114B2 (en) 2013-06-18 2016-11-22 Avedro, Inc. Systems and methods for determining biomechanical properties of the eye for applying treatment
US9308165B2 (en) * 2013-08-22 2016-04-12 Therapeutic Vision, Inc. Composition for treating ocular effects of diabetes
EP3212140B1 (en) 2014-10-27 2021-12-01 Avedro, Inc. Systems for cross-linking treatments of an eye
WO2016077747A1 (en) 2014-11-13 2016-05-19 Avedro, Inc. Multipass virtually imaged phased array etalon
US10258809B2 (en) 2015-04-24 2019-04-16 Avedro, Inc. Systems and methods for photoactivating a photosensitizer applied to an eye
WO2016191342A1 (en) 2015-05-22 2016-12-01 Avedro, Inc. Systems and methods for monitoring cross-linking activity for corneal treatments
CN116832158A (zh) 2015-07-21 2023-10-03 艾维德洛公司 用光敏剂治疗眼睛的系统和方法

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Also Published As

Publication number Publication date
EP0801948A1 (de) 1997-10-22
ATE201820T1 (de) 2001-06-15
US6599944B1 (en) 2003-07-29
DK0801948T3 (da) 2001-09-10
DE59703711D1 (de) 2001-07-12
WO1997038674A1 (de) 1997-10-23
CA2251982A1 (en) 1997-10-23
DE19614823A1 (de) 1997-10-16
CA2251982C (en) 2008-01-29
PL187339B1 (pl) 2004-06-30
CN1215988A (zh) 1999-05-05
PL328656A1 (en) 1999-02-15
GR3036498T3 (en) 2001-11-30
JP2000508646A (ja) 2000-07-11
ES2159783T3 (es) 2001-10-16
AU714093B2 (en) 1999-12-16
AU2024697A (en) 1997-11-07
SI0801948T1 (en) 2001-10-31
BR9708669A (pt) 1999-08-03
PT801948E (pt) 2001-10-31
US20040071778A1 (en) 2004-04-15
JP4582822B2 (ja) 2010-11-17

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